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General NPI Number Information
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NPI Number | 1881545085
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Entity Type | Organization
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Legal Business Name | ABUNDANT LIVING HOMES INC
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Dates
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Enumeration Date | 02/04/2026
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Last Update Date | 02/04/2026
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Provider Practice Location Address
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Address Line | 299 ROBERT F HARGROVE RD
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City | MOUNT OLIVE
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State | NC
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Zip | 28365-8338
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Country | US
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Telephone | 919-223-2709
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Fax |
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Provider Business Mailing Address
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Address Line | 507 W MAIN ST APT B
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City | MOUNT OLIVE
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State | NC
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Zip | 28365-1937
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Country | US
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Telephone | 919-223-2709
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. LAMEKA PATRICE GILLIAM
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Credential | PHD
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Telephone | 919-223-2709
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320600000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Residential Treatment Facility
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License Number |
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License Number State |
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